Istanbul Medicine Faculty Pathology Research Laboratory

PATHOLOGY, LABORATUVARY, EDUCATION, BIOPSY

Brief history:

Hamdi Suat Aknar (1873-1936) was the founder of modern pathology in our country. Hamdi Suat was granted the Professorship of the Department of Anatomic Pathology at the Civil Medical School established in Kadırga in 1907, and he proceeded to carry out his duties there successfully until the University Reforms of 1933 came about.

He brought an innovative approach to the education system which, up until that point in time did not incorporate autopsy or microscopic practices. He also organized autopsy courses with 90 student classes and provided the course materials so that every two students would share one microscope, incorporated practical studies into the curriculum and prepared a slide archive for instruction.

Hamdi Suat established a macroscopy museum consisting of 1800 exhibit samples and created a solution to preserve the respective colors of the samples that would later be referred to in medical literature as the ?Hamdi solution?. He was among the first Turkish physicians to gain recognition in the international arena. This important scientist was obliged to resign from the University with the passing of the University Reforms in 1933, but continued his projects with the same altruism and modesty until he passed away in the year 1936.

With the transformation of the Darülfünun to the Istanbul University through the 1933 University Reforms, our Pathology Department was established as part of the Istanbul University organization in 1933. Philips Schwartz, Prof M.D. was nominated as the Pathologic Anatomy Professorship Chairman and Prof Siegfried Oberndorfer, M.D. was nominated as the Chairman?s Professorship of the General Pathology and Experimental Pathology Department.

Prof Philips Schwartz, M.D (1894-1977) was one of the foremost people leading the University Reform and had many years of professorship direction under his belt. He made a lot of important contributions towards the modernization of our Pathology Department and had macroscopy, microscopy and autopsy halls constructed. He preserved the museum founded by Hamdi Suat and expounded on its value every opportunity he got. He had samples prepared for practical studies, founded the photographic division and added a painter to the department staff. He organized courses during the summer to provide an opportunity for medical students to gain extra instruction. After the death of Siegfried Oberndorfer in the year 1944 the General Pathology and Experimental Pathology Departments were added to the Pathologic Anatomy Department.

As a result of Dr Schwartz?s leaving for the United States in 1953, Chairmanship of the department was taken up by Prof Besim Turhan, M.D. (1896-1972) and he carried out this duty until 1972. Besim Turhan meticulously maintained the biopsy, autopsy, photography, special cases and macroscopy archives during his tenure, and provided significant service with the numerous books he wrote.

Prof Münevver Yenerman, M.D. acted as Department Chairman from 1972 to 1985 when she retired. It was at this period that we moved to the location we still occupy to this date, at the Capa campus, with the capacity to house an expansive archive and also at this period, an electron microscopy unit was established. The most important development under Prof Dr Yenerman?s Chairmanship is the anticipation of the advancements in medicine, the establishment of various sections in the department and commencement of operations in that fashion. In Turkey, our Department has been the forerunner to this respect and to date some of our sections have developed into departmental disciplines in their own right.

Subdivision

Pathology has 11 subdivisions inlcuding five departments and six sections. These subdivisions are as follows:

• Cytopathology Department

• Gynecopathology Department

• Dermatopathology Department

• Neuropathology Department

• Pediatric Pathology Department

• Genitourinary System Pathology Section

• Gastrointestinal System and Liver Pathology Section

• Endocrine System Pathology Section

• Respiration and Cardiovascular System Pathology Section

• Hemopoetic and  Lymphoreticular System Pathology Section

• Bone-Soft Tissue Pathology Section

Personnel:

Head of Department:Prof. Dilek Yılmazbayhan, MD

• Training staff (n=15): 8 Proffessors, 2Assoc. Proffesors, 5 Junior Faculties
• Residents (n=12)
• Health-Technical staff (n=24)

•  Other medical staff:(n=18)

SERVICES

Annual number of biopsies               :       45000 / year

Annual number of frozen sections:         1200 / year

Annual number of consultation materials:   2500 / year

Own laboratories and/or operating room:

• Cytopathology Laboatory
• Immunohistochemistry Laboratory
• Histochemistry Laboratory
• Immunofluorescence Laboratory
• Molecular Pathology Laboratory
• Frozen Laboratory

Graduate and Medical Education:

As educative and instructive activities, a total of 220 hours (110 topics) of classes are given to our Medical Faculty?s third year students as General Pathology and Systemic Pathology. Moreover, our departments teaching staff also provide lecturing services related to pathology to the Florence Nightingale Nursing Training College, the Physical Therapy and Rehabilitation Training College and the Bakırköy Health Profession Training College.

In addition to this, we provide medical students with a total of 88 hours of practical studies consisting of 44 hours of macroscopy and 44 hours of microscopy. In our Student Microscopy Practice Laboratories we provide each student with a binocular microscope. All applications are performed on microscopic sample slides. Furthermore, students are able to study gross  specimen samples that have been fixed in either Hamdi solution or in formaldehyde in our Macroscopic Practice Laboratories.

Training curriculum for the residents:

Our training program for pathology residents is carried out in a series of internal rotations compatible with departmentalization. The rotations within our department and its subdivisions are carried out in two stages: Initially the residents begin with weekly preliminary rotations. This period is carried out alongside a specialist or a senior resident that has completed the preliminary rotation. A month of laboratory applications rotation is also done within this period. The residents that complete the preliminary rotation commence training rotations lasting two months each. Within this period the pathology resident is responsible for every step from the acceptance of biopsies that come to the section, the admissions into the department, to the issuing of the report.

Residents are required to participate in all of the seminars organized by the pathology department. Moreover they are obligated to actively prepare and present at least one topic each year at these seminars. The seminars are held in the departmental conference room every Monday from 1 to 2 p.m.

Residents attend all of the case study conferences organized within the department?s teaching program. They are also subject to being entrusted with the duties of preparation and presentation of cases from their sections or from the department for these conferences. These case study conferences are held in the departmental conference room every Thursday from 1 to 2 p.m.

Residents present at least 1 scientific paper and have to attendall Journal Club meetings which are held on Wednesdays from 8:30 to 09:30 a.m.

Residents also attend all of the clinicopathologic meetings and are commissioned with the preparation, evaluation and presentation of the cases that are discussed at these sessions. These clinicopathological meetings are held according to a set schedule at the department or in related clinics.

Within the training period, every resident is expected to attend at least two symposiums or congresses. They are also expected to make a contribution in the preparation of at least one scientific study per year. Members of our departments teaching staff and their assistants had 75 articles published in magazines within the SSCI or SSCIE coverage in the 2008-2009 period.

Conducted Certification Programs:

Cytopathology Department has certification programme for 2 years of education after residency in Pathology. The regulations of this programme are done by Ministry of Health of Turkish Government .

Postgraduate Training Courses and Congresses accommodated by own Department:

Annual Tutorial on Clinical Cytology, a collaberation between Istanbul Faculty of Medicine and the Johns Hopkins Hospital

Congress or Courses organized by Federation of Turkish Pathology Societies and Turkish Scoiety of Pathology are also suppported by our department

Number of international publications during the last 5 years:         160

 

ISTANBUL UNIVERSITY, ISTANBUL FACULTY OF MEDICINE, DEPARTMENT OF PATHOLOGY, CAPA-SEHREMINI/ISTANBUL

Total resource (BAP): 0,00 TL